| 4-sight Counseling, Inc. | |
|
937 Broadway St Suite 305 Cape Girardeau MO 63701-5493 | |
| (573) 334-7995 | |
| (573) 335-8610 |
| Full Name | 4-sight Counseling, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 937 Broadway St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Timothy D. Gould (CEO/PRESIDENT) |
| Authorized Official Contact | 5733347995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4-sight Counseling, Inc. 937 Broadway St Suite 305 Cape Girardeau MO 63701-5493 Ph: (573) 334-7995 | 4-sight Counseling, Inc. 937 Broadway St Suite 305 Cape Girardeau MO 63701-5493 Ph: (573) 334-7995 |
| NPI Number | 1427347871 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427347871 | NPI | - | NPPES |
| 495106445 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2005012218 (Missouri) | Primary |
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